CYCLONE NARGIS: MYANMAR
                          9 May 2008

General Situation Update
   •   Official statistics as of 6 May indicate 22 464 deaths, and 41 054 missing.
   •   Relief items have arrived in Myanmar, including 10 Interagency Emergency
       Health Kits with medical supplies (including malaria supplies) and equipment
       for 300 000 people for one month.
   •   The supply of clean water remains of highest priority, especially related to the
       increased possibility of water and vector borne diseases
   •   Agencies are relying heavily on national workers to deliver support.
       Movement of international aid workers within and to Myanmar is still limited.
   •   International offers of aid and donations continue to rise, along with
       increasing offers from the private sector
   •   UNICEF reports that 75 000 schools have completely collapsed, and 25 000
       schools have lost their roofs

Health Action
   • The WR Myanmar and Ministry of Health Myanmar are holding daily meetings.
   • WHO organized the first Global Health Cluster strategic coordination
       teleconference with 22 participants
   • The Health cluster has been initiated both in Bangkok and Myanmar
   • Inter-cluster collaboration is ongoing. The Health cluster is collaborating with
       the Logistics, WASH and HIV/AIDS clusters both in Myanmar and Bangkok.
   • A Joint UN Flash Appeal for US$108 million will be launched regionally in
       Bangkok on 12 May. WHO has requested US$ 5 million, within this initial
       appeal, to cover projected needs for the next 6 months. This will be revised
       within 30 days.
   • Joint CERF proposals are currently being developed

   • Two members of the UNDAC team including one health professional, have
      gained access to Myanmar and will begin their assessment today.
   • WHO’s regional surveillance officers are assessing the affected regions.

Health Care Delivery
   • Ten Interagency Emergency Health Kits including malaria supplies have
       arrived in Myanmar
   • Twenty teams with 10 epidemiologists each are on stand-by in Thailand
       awaiting clearance from the Myanmar government
   • Discussions are ongoing for the mobilization of further supplies, including
       diarrhoeal disease kits, water and sanitation kits, bleach powder and long
       lasting impregnated nets (LLIN) to the area
Outbreak Control
   • WHO has mobilized teams of regional surveillance officers to the district to
      assess the health situation in the area
   • Rumors of diarrhoeal outbreaks reported in the Yangon area.
   • Drugs, Rapid Diagnostic Tests for Malaria and Dengue, bednets and other
      supplies available
   • UNICEF has sent 3 million water purification tablets. Further supplies will be
      purchased locally.

Technical Support
   • A public health officer from WHO Geneva has been deployed to Yangon.
   • The WHO Myanmar Country Office includes 140 staff mobilized for this crisis.
   • A Health Cluster Coordinator has been identified.
   • Efforts are ongoing to deploy experts for logistics, and epidemiology.

Next Steps
   •   Purchase additional supplies, locally, from the regional office, or from HQ as
   •   Strengthen health coordination in the country
   •   Establish a surveillance system in the affected areas
   •   Enhance WHO field presence and increase visibility in the field
   •   Mobilize the donor community to provide funds for responding to this crisis

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